Claims – No-Fault Litigation Specialist I - IV

The Cincinnati Insurance Companies; Fairfield (OH); On-site; USD 60,000 - 95,000; Full time

Benefits offered by this job

Annual bonus

Stock incentives

Job summary

The Cincinnati Insurance Companies are seeking a litigation specialist in the No-Fault Unit to oversee auto med pay and PIP features of Casualty claims. HQ-based candidates may apply.

The role involves supervising claims, evaluating exposure, and ensuring timely payments and accurate filings. Ideal candidates will have strong analytical and training skills, experience with CMS and claims systems, and the ability to collaborate across field claims teams.

Qualifications

• AIC, CPCU, SCLA designations or other relevant education.
• Experience with auto med pay and PIP claims.
• Ability to evaluate exposure and set reserves in excess of $100,000.

Responsibilities

• Provide technical direction and support med pay and PIP claims examiners.
• Develop and implement training programs related to auto med pay and PIP.
• Participate in coverage analysis for assigned claims.
• Manage litigation on assigned files.
• Investigate and adjust medical component of first party auto claims.
• Enter information and documentation into Claims Management System.
• Review medical records and medical billings, issuing payments as appropriate.
• Provide accurate and timely submission of required forms and applications.
• Actively oversee Medicare filings to ensure compliance with reporting requirements.

Skills

Customer service

Problem solving

Time management

Organizational skills

Initiative

Stakeholder relations

Education

AIC, CPCU, SCLA designations

Tools

CMS

Microsoft Office

Excel

Claims Management System

Job description

Make a difference with a career in insurance

At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we’re looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate thatActions Speak Louder in Person®.

If you’re ready to build productive relationships, collaborate within a diverse team, embrace challenges, and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow.

Build your future with us

The No-Fault Unit is currently seeking a litigation specialist to handle and supervise auto med pay and PIP features of Casualty claims. HQ-based candidates will be considered for this role.

The pay range for this position is $60,000-$95,000 annually. The pay determination is based on the applicant’s education, experience, location, knowledge, skills, and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance.

Be Ready To

• provide technical direction and support med pay and PIP claims examiners


• develop and implement training programs related to auto med pay and PIP


• participate in coverage analysis for assigned claims


• manage litigation on assigned files


• evaluate exposure and set reserves in excess of $100,000


• investigate and adjust medical component of first party auto claims


• work collaboratively with Field Claims associates


• communicate directly with policyholders and other external contacts


• enter information and documentation into Claims Management System


• review medical records and medical billings, issuing payments as appropriate


• provide accurate and timely submission of required forms and applications


• actively oversee Medicare filings to ensure compliance with reporting requirements

Qualities

• strives to provide excellent customer service to internal and external customers


• demonstrates excellent problem-solving, attention to detail, decision making, time management and organizational skills


• shows initiative in assisting and educating other associates


• willing to take on new responsibilities as deemed necessary


• masters principles and strategies for maintaining professional and respectful relationships with all stakeholders

Be Equipped With

• working knowledge or experience with CMS helpful


• working knowledge or experience with personal and commercial lines software helpful


• excels at verbal, telephone and written communication


• experience with Microsoft® Office and Excel helpful


• understanding of commercial and personal auto jurisdictional key differentiators


• knowledge of managed care programs helpful


• demonstrated expertise in coverage analysis


• experience in detailed analysis of facts relevant to an evaluation of coverage, compensation and injuries


• experience with Cincinnati’s coverage forms, policies and claim procedures

Education

• AIC, CPCU, SCLA designations or other relevant education.

US-OH-Fairfield